EDWARD J DROPCHO MD
NPI 1962424937
Psychiatry & Neurology - Neurology in Indianapolis, IN

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
545 BARNHILL DR, EH125, INDIANAPOLIS, IN 46202(317) 274-8800 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward J Dropcho Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD J DROPCHO MD (NPI 1962424937) is an individual neurology provider in Indianapolis, Indiana, licensed in Indiana (01044343A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1962424937
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameEDWARD J DROPCHOCredential: MD
Location Address545 BARNHILL DR, EH125Indianapolis, IN 46202-5112
Mailing Address545 Barnhill Dr, Eh125Indianapolis, IN 46202-5112 · (317) 274-8800
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1980
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
NPI 1962424937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IN · 01044343A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
545 BARNHILL DR, Indianapolis, IN 46202

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Medicaid200071620IN
Other000000087151IL · Anthem

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Edward J Dropcho Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577624899
PECOS Enrollment IDI20081205000004
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier31 claims3,899 services$0.64 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier15 claims15 services$19.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier16 claims16 services$12.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
545 BARNHILL DR
INDIANAPOLIS, IN 46202
Surgery (Plastic and Reconstructive Surgery)
545 BARNHILL DR, EH 232
INDIANAPOLIS, IN 46202
Nurse Practitioner
545 BARNHILL DR, EH 203
INDIANAPOLIS, IN 46202
Dermatology
545 BARNHILL DR, EH 139
INDIANAPOLIS, IN 46202
Specialist
545 BARNHILL DR, SUITE #139
INDIANAPOLIS, IN 46202
Surgery (Plastic and Reconstructive Surgery)
545 BARNHILL DR, EH 232
INDIANAPOLIS, IN 46202
Plastic Surgery
545 BARNHILL DR, SUITE 202 EMERSON HALL
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
545 BARNHILL DR
INDIANAPOLIS, IN 46202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Dropcho's NPI number?

The NPI number for Edward Dropcho is 1962424937. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Edward Dropcho located?

Edward Dropcho practices at 545 Barnhill Dr Eh125, Indianapolis, IN 46202. The listed phone number is (317) 274-8800.

What is Edward Dropcho's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Edward Dropcho enrolled in Medicare?

Yes. Edward Dropcho is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edward Dropcho accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Edward Dropcho as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Dropcho affiliated with any hospitals?

According to CMS data, Edward Dropcho is affiliated with Indiana University Health and Indiana University Health Arnett Hospital.

When was this NPI record last updated?

The NPPES record for Edward Dropcho was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.